Valve Sounds

Question 1

Mitral stenosis

Answer 1

Loud S1 snap w/ mid diastolic murmur

Question 2

Mitral regurgitation

Answer 2

Pansystolic “whistling” murmur that radiates to axilla with mid systolic click and additional S3 sound

Question 3

Aortic stenosis

Answer 3

Ejection systolic crescendo-decrescendo murmur radiating to carotids. Ejection click and S4 sound

Question 4

Aortic regurgitation

Answer 4

Early diastolic murmur, water hammer pulse, soft S1 and S2
OR Austin-Flint murmur: Rumbling murmur at apex (Severe) due to vibration of mitral valve